Doctor insights on:
Cc Breast Implants

1

No but.....:
There is no direct link but there are concerns with the potential for implants to interfere with the detection of cancer. Particularly using mammograms. Special views (eklund) must be obtained. Alhtough there may be a delay in diagnosis, there has not been shown to be any effect on survival. With mri, surveillance is improved and may supplant mammography. As stated, alcl may be increased but rare.
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A medical device that is used to augment the size of the breast by increasing the volume of the breast mound. Implants come in a variety of shapes, sizes, and textures and are surgically inserted either under the breast tissue or in a deeper plane under the muscle. The shell of the implant is made of a flexible silicone elastomer. The inside is filled with either silicone gel or saline fluid.
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2

Yes:
The presence of any implant, saline or silicone, will affect how the mammograms are performed. If the test is completed in a standard fashion there may be up to 15% of the breast tissue that still will require additional imaging.
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3

Depends:
For smaller volume increases, fat transfer works as well as implants. However for larger volumes, it may take several stages and is more difficult to get the same result as an implant. It also depends on the amount of breast tissue you start with, because fat transfer needs some tissue to survive. Generally speaking, it is more economical to get implants.
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4

Implant Weight:
Depends of how fibrous the breast tissue in question is. In general, breast tissue is mostly fat tissue. Fat in general is less dense and will float when placed in water. Saline breast implants are mainly salt water. A gallon of fat will have an approximate weight of 7.39 lbs, a gallon of salt water will have a weight of 8.35 lbs and a gallon of silicone will have an approximate weight of 19 lb.
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6

Perhaps, not usually:
The density of silicone implants is very close to breast tissue as it approximates the density of water. However this is not typically the case as most breast mass is a combination of tissue/gland (more dense than silicone) and fat which is less dense than silicone.
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9

Seek Consultation:
Good question, but not enough space here. Seek consultation with board-certified plastic surgeons to discuss your goals. Learn about the pros/cons/risks/complications associated with breast augmentation surgery in order to make an informed decision. Understand, that breast augmentation surgery will almost certainly guarantee you additional breast surgery in the future. Best wishes.
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10

Yes:
While there are special techniques to try and visualize as much of the breast tissue as possible, implants do partially obstruct full evaluation of the breast. This is particularly true when the implants are placed above the pectoralis muscle; it is always best to place these behind the muscle.
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11

Yes, statistically:
To the best of my knowledge 85% of implants fall in the range of 325-375 cc. Therefore 600 cc falls outside the bell curve and well beyond two standard deviations. This may increase the potential for tissue atrophy and increase the risks of nerve injury and the potential for long term ptosis (sag). However many patients choose this side knowing these risks.
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12

No:
Women with breast implants are encouraged to breast feed just as any other woman and most do so without a problem. Some women may experience difficulty with breast feeding for various other reasons. Although typically breast gland function is minimally affected by implant surgery, there can occasionally be scarring which may lead to added difficulty with breast feeding.
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13

Short answer: no:
With the exception of a very rare situation, (called ALCL) breast implants do not seem to increase the risk of breast cancers.
There are multiple studies which actually show women with implants having a lower-than-expected risk of breast cancer.
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14

Breast Implant feel:
Silicone gel implants integrate better with breast tissue and feel more natural and softer. Saline implants are filled with salt water and are not as soft. This is more noticeable in patients with thinner tissues. Occasionally patients with saline implants also can feel a "slosh" from fluid "movement" within the implant shell; however, this is rare.
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15

Yes:
Breast augmentation with saline and silicone gel breast implants is very safe. When choosing a plastic surgeon to perform your breast augmentation , make sure they are board certified. A good place to look for a plastic surgeon in your area is to go to www.Plasticsurgery.Org. Information on breast augmentation, and multiple plastic surgery procedures can be found.
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19

Of course (not day1):
Certainly you can go rafting after breast augmentation as long as you are completely healed and your surgeon has lifted restrictions. This is typically 3 months following surgery but physicians may vary in their recommendations.
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20

Yes:
As with all surgery, there are some risks with having an operation. However, breast augmentation is a very safe procedure. I recommend you see a plastic surgeon who is certified by the American Board of Plastic Surgery to discuss in more detail.
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An implant is a medical device manufactured to replace a missing biological structure, support a damaged biological structure, or enhance an existing biological structure. Medical implants are man-made devices, in contrast to a transplant, which is a transplanted biomedical tissue.
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